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" SAN-JOAQUIN <br /> environmental Health Department <br /> COUNTY— <br /> Greatness grows here. <br /> Monitoring Well/Soil Boring Inspection Report <br /> Date: &'7' Z/ Inspector: A see-"04 CONSTRUCTION <br /> Facility Address: S'30o ww"I J . <br /> Well Address: Total Depth: <br /> WP#,22Lj},0/.!r Well#: Drilling Rig Type: <br /> Soil Boring#: <br /> Drilling Company: (4tLwr�Ie- Min 2"Annular EHD Seal Verified: El Yes ONO <br /> Driller Onsite:_��/L� Screen Length From: To: <br /> Consultant: .Ta 4o'6 Filter Pack From: To: <br /> Geologist: Zl'e/y Bentonite From: To: <br /> Grout From: To: <br /> Public Water System Onsite: ❑ Yes ONO COMPLETION ❑ Stove Pipe ❑Christie Box <br /> Domestic Well Onsite: ❑ Yes ONO ageing <br /> If yes,location and distance: � height <br /> —CW7:F <br /> SAMPLING ABOVE-GROUND CH RI5TY-BOX <br /> Holding Temperature: DOWLETION COMPLETION <br /> Method: Ground 3 xface 7- <br /> Screening Method: or&A <br /> Verified Chain of Custody: ❑ Yes ❑No —tt' <br /> tt. <br /> SPOILS '51J-7 <br /> Contamination Noted: ❑Yes ONO q-w <br /> If yes,spoils storage Location: <br /> stoned 1 = B <br /> aecd'n <br /> Covered: El Yes ❑Noy" 2 76, ' gravel Pack <br /> If yes,material: <br /> GROUTING or DESTRUCTION Total Depth: ' <br /> De th to Water: S-/ 14,wlet 27 7 tt• — I �tt. <br /> Grout Material: AAt i4e-ewe f <br /> Gallons of Grout Used: Qa a i/ — /L160ZI&Nt MATERIALS/DEVELOPMENT <br /> Casing Type: <br /> ❑Well Installation GKi ell Destruction Blank Feet Screen Feet <br /> ❑Boring Installation ❑Boring Destruction Slot Size: <br /> Bags of Cement: <br /> METHOD USED Bags Sand/Gravel: <br /> dressure Grout ❑Over Drill Type/Brand of Bentonite: <br /> Filter Pack Type/Size: <br /> ❑ Gravity ❑Tremie ❑Other: Type of Method: <br /> Water Cement 471b Water Cement 94lb <br /> allons Bags gallons Bags <br /> Thickest Thinnest #Bags Thickest Thinnest #Bags _ Bentonite/Cement Mix 3%Mix 5%Mix_ <br /> 2.5 5 1 5 10 1 1 Bentonite per 47 lb 1.41 2.47 _ <br /> 5 10 2 10 20 2 1 Bentonite per 94lb 2.82 4.7 <br /> 7.5 15 3 15 30 3 -i <br /> 30 20 4 20 40 4 <br /> 12.5 25 5 25 50 5 <br /> 15 30 6 30 60 6 <br /> 17.5 35 7 35 70 7 <br /> 20 40 8 40 80 8 <br /> 10/16/2017 <br /> 1868 E. Hazelton Avenue I Stockton, California 95205 1 T 209 468-3420 1 F 209 464-0138 1 www.socehd.com <br />